Related Experiment Video
Updated: May 22, 2026
Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
Published on: December 23, 2022
Comparison of open preperitoneal and Lichtenstein repair for inguinal hernia repair: a meta-analysis of randomized
Junsheng Li1, Zhenling Ji, Tao Cheng
1Department of General Surgery, Affiliated Zhong-Da Hospital, Southeast University, 210009 Nanjing, Jiangsu, China. Lijunshenghd@126.com
Background:
The aim of this article was to compare the outcomes of the open preperitoneal approaches and the Lichtenstein technique in the repair of inguinal hernias.
Methods:
A systematic literature review was undertaken to identify studies comparing the outcomes of open preperitoneal and Lichtenstein techniques in the repair of inguinal hernias.
Results:
The present meta-analysis pooled the effects of outcomes of a total of 2,860 patients enrolled into 10 randomized controlled trials and 2 comparative studies. The preperitoneal technique was associated with a lesser incidence of recurrence (odds ratio = .51; 95% confidence interval, .28-.92). However, statistically there was no difference in the incidence of chronic pain, hematoma, wound infection, testicular problem, urinary problem, numbness, inguinal parenthesis, and operative time.
Conclusions:
The open preperitoneal approach is a feasible alternative for the standard Lichtenstein procedure with similar complication rates and potentially less postoperative recurrence.
